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NPI Code Detail

MEDICARE: RESIDENTIAL VISITS ASSOCIATION

MEDICARE: RESIDENTIAL VISITS ASSOCIATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QG0300XGeriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1477529352
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESIDENTIAL VISITS ASSOCIATION
Provider Business Mailing Address
First Line : 5461A LA SIERRA DR
Second Line :
City : DALLAS
State : TX
Zip : 75231-4107
Country : US
Telephone Number : 214-750-3714
Fax Number : 214-348-0129
Provider Business Practice Location Address
First Line : 9696 SKILLMAN ST
Second Line :
City : DALLAS
State : TX
Zip : 75243-8253
Country : US
Telephone Number : 214-348-7611
Fax Number : 214-348-0129
Authorized Official
Title or Position : PRESIDENT
Name : DR. MARTIN BENNETT COHEN
Credential : M.D.
Telephone Number : 214-750-3714
Provider Enumeration Date : 02/28/2006
Last Update Date : 08/22/2020

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Directions to “RESIDENTIAL VISITS ASSOCIATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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